Nokea
This theorist identified eight developmental tasks or stages that are expressed as opposites or contraindications of each other.
- A. Erik Erikson
- B. Sigmund Freud
- C. Jean Piaget
- D. Abraham Maslow
Correct Answer: A
Rationale: Erikson's developmental concepts were derived partly from Sigmund Freud's concepts of personality development. Erikson's stages related to developmental task based on age.
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The psychiatric nurse best demonstrates an understanding of the general health challenges facing a mentally ill client who reports auditory hallucinations when asking:
- A. When did you first start hearing voices?'
- B. What did you have to eat last night for supper?'
- C. May I have your permission to take your blood pressure?'
- D. Do you understand why you need to take your medication?'
Correct Answer: C
Rationale: The correct answer is C because asking for permission to take the client's blood pressure demonstrates respect for their autonomy and acknowledges their physical health needs. It shows an understanding that mental illness can impact physical health and encourages holistic care. Choice A focuses on the onset of hallucinations, but does not address immediate health concerns. Choice B is unrelated to the client's health challenges. Choice D addresses medication compliance but does not directly address the client's current health status. Overall, choice C is the best option as it considers both the client's mental and physical well-being.
Which of the following guidelines for the use of nonconventional modalities is correct?
- A. Health care providers should make every attempt to ascertain alternative therapy use during each visit
- B. All 'natural' products are generally safe
- C. Health care providers should support all alternative therapies
- D. When using alternative medicines, more is always better than less
Correct Answer: A
Rationale: Assessing use at each visit ensures safety and coordination with conventional care.
What are the common side effects of the anticonvulsant Divalproex (Depakote)?
- A. GI upset
- B. Headache
- C. Dizziness
- D. Weight gain
Correct Answer: A
Rationale: The correct answer is A: GI upset. Divalproex is known to cause gastrointestinal (GI) upset as a common side effect, including symptoms like nausea, vomiting, and diarrhea. This is due to its irritant effect on the stomach lining.
B: Headache - While headache can be a side effect of some medications, it is not a common side effect of Divalproex.
C: Dizziness - Dizziness can occur as a side effect of Divalproex, but it is less common compared to GI upset.
D: Weight gain - Weight gain is a known side effect of Divalproex, but it is not as common as GI upset. Weight gain typically occurs over time with long-term use.
An alcohol-dependent patient was hospitalized at 0200 today. When would the nurse expect withdrawal symptoms to peak?
- A. Between 0800 and 1000 today (6 to 8 hours after drinking stopped)
- B. Between 0200 tomorrow and hospital day 2 (24 to 48 hours after drinking stopped)
- C. About 0200 on hospital day 3 (72 hours after drinking stopped)
- D. About 0200 on hospital day 4 (96 hours after drinking stopped)
Correct Answer: B
Rationale: The correct answer is B because alcohol withdrawal symptoms typically peak between 24 to 48 hours after the patient stops drinking. This timeframe aligns with the onset of symptoms such as tremors, anxiety, and hallucinations. Choices A, C, and D are incorrect because withdrawal symptoms do not peak within 6 to 8, 72, or 96 hours after drinking cessation. It is crucial for the nurse to monitor the patient closely during this critical period to manage and prevent potential withdrawal complications.
the problems of sexuality and sexual functioning, the term gender identity refers to
- A. Sexual urges or fantasies
- B. Individual is dissatisfied with their own biological sex
- C. Problem with sexual fantasies
- D. Problem with normal sexual response cycle
Correct Answer: B
Rationale: Gender identity is one's internal sense of gender, which may conflict with biological sex.